Aaa Elective Treatment Indication Tactics in Evar Era

Utíkal, P; Köcher, Martin; Koutná, Jiřina; Bachleda, Petr; Drác, P; Černá, Marie; Buriánková, Eva

doi:10.5507/bp.2004.034

Cited by 3 publications

(10 citation statements)

References 23 publications

(32 reference statements)

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Section: Discussionmentioning

confidence: 99%

“…Endovascular AAA sac exclusion using a stentgraft is hemodynamicaly less stressful as well as miniinvasive 15,[17][18][19][20] . The associated bypass creations on the visceral branches are more invasive, but they are hemodynamically still less stressful and acceptable in the case of high operating risk patients 15,16 . In this combined type of AAA repair we need no exposure of the aneurysmal proximal neck or the aneurysmal sac with the origins of its branches (their exposure would be technically very problematic in this location) as in classical AAA surgery 4 .…”

Section: Discussionmentioning

confidence: 99%

“…The procedure sequence -bypass creation followed by the ligation of the visceral branches central parts and then by AAA exclusion -prevents organ ischaemia and thrombembolic complications during stentgraft introduction. The combination of the endovascular and surgical procedures (combined strategy) should generally allow the treatment of morphologically complicated AAAs and the repair should be easy, feasibile and safe, as in the cases reported above 15,16 . If important organ revascularisation after AAA sac with visceral branches endovacular exclusion is required, an associated surgical bypass seems to be the best possibility available 16 .…”

Section: Discussionmentioning

confidence: 99%

“…One posssibility exists. We can take the positives and advantages of both methods and eliminate their disadvantages combining the endovascular and surgical procedures [14][15][16] .…”

Section: Introductionmentioning

confidence: 99%

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Treatment Possibility for Aaa of the Visceral Branches Region

Utíkal

Köcher²,

Koutná³

et al. 2005

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…One posssibility exists. We can take the positives and advantages of both methods and eliminate their disadvantages combining the endovascular and surgical procedures [14][15][16] .…”

Section: Introductionmentioning

confidence: 99%

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Treatment Possibility for Aaa of the Visceral Branches Region

Utíkal

Köcher²,

Koutná³

et al. 2005

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“…Consequently, cases of open surgery, which are disqualified from EVAR, have become more complex, mainly due to the association of iliac arterial lesions [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

Surgical repair for abdominal aortic aneurysm concomitant with iliac arterial disease using InterGard™ Quadrifurcated

et al. 2012

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InterGard™ Quadrifurcated [InterVascular S.A. (MAQUET Cardiovascular), La Ciotat, France], a knitted quadrifurcated prosthetic graft, is useful to simplify the procedures for patients with abdominal aortic aneurysm concomitant with iliac arterial disease. From March 2008 to April 2010, 59 patients underwent abdominal aortic aneurysm repair in our department. InterGard™ Quadrifurcated was used in 22 patients (37.3%). All patients were male with a mean age of 72.1 ± 12.1 years (range from 45 to 90 years). Four were emergency cases. Nineteen patients had common iliac arterial lesions, and 19 patients had internal iliac arterial lesions. In addition to abdominal aortic aneurysm repair, reconstruction of bilateral internal iliac arteries was performed in 4 patients, reconstruction of unilateral internal iliac artery in 15 (right 6, left 9), and internal mesenteric artery in 13. There was one hospital death due to nonocclusive mesenteric infarction. There were two complications, which were intestinal perforation and intestinal obstruction. All of these three cases were emergency cases. Computed tomography scan 1 week after operation showed that all reconstructed grafts were patent. Although patients with abdominal aortic aneurysm concomitant with iliac arterial disease had many preoperative comorbidities, surgical results with InterGard™ Quadrifurcated were satisfactory. It is useful to simplify the procedures for these patients.

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